FAMILY HEALTH MEDICAL CLINIC LLC NPI 1881391803

NPI Information

NPI: 1881391803
Provider Name: FAMILY HEALTH MEDICAL CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
10445 E PIVITOL AVE
MESA, AZ
ZIP 85212
Phone: (510) 355-5652
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FAMILY HEALTH MEDICAL CLINIC LLC is a family nurse practitioner in Mesa, AZ. FAMILY HEALTH MEDICAL CLINIC LLC NPI is 1881391803. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10445 E PIVITOL AVE
MESA, AZ
ZIP 85212-037
Phone: (510) 355-5652

The provider's authorized official is Miranda Njante .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (510) 355-5652.

The enumeration date for this NPI number is 2/9/2023 and was last updated on 3/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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